NPIMap

Organization Active NPI

Kimberly a Shafer, P.C.

  • Family Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1316154693
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
578393 Issued in TX
Legal business name
KIMBERLY A SHAFER, P.C.
Practice address
2601 Wasson Rd
Big Spring, TX 79720-6416
Phone
(432) 714-4284
Fax
(432) 714-4286
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Ann Shafer, R.N., F.N.P.,B.C.NPI 1063413557
Title
Owner
Phone
(432) 714-4284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 578393 TX Primary

Addresses

Primary practice location

2601 Wasson Rd
Big Spring, TX 79720-6416

Mailing address

2601 Wasson Rd
Big Spring, TX 79720-6416
Phone (432) 714-4284

Other identifiers 2

IdentifierTypeStateIssuer
167375801MedicaidTX
99PVOtherTXBCBS TX

Other names 1

  • Kimberly Ann Shafer Other name

National Provider Directory

National Provider Directory

Locations

2601 Wasson Rd
Big Spring, TX 79720
Phone (432) 686-6605

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1316154693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WASSON RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206416",
            "telephone_number": "432-714-4284",
            "fax_number": "432-714-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WASSON RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206416",
            "telephone_number": "432-714-4284",
            "fax_number": "432-714-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A SHAFER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-714-4284",
        "authorized_official_credential": "R.N., F.N.P.,B.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "578393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167375801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "99PV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Ann Shafer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Big Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.